Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Chen, Lu; Cheng, Miaoting

doi:10.3390/ijerph192416461

Cited by 6 publications

(2 citation statements)

References 63 publications

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“…However, trust is often contingent upon patients' full understanding of medical procedures; insufficient or ineffective communication may lead to distrust [4]. The elderly population tends to exhibit higher levels of distrust compared to younger groups [5]. Due to physiological aging, elderly individuals often require complex medical procedures, which can be difficult to comprehend [6].…”

Section: Elderly 'S Trust To Medical Advicementioning

confidence: 99%

“…Furthermore, low literacy levels, infrequent internet use, and financial constraints influence the elderly's perception and acceptance of medical advice [5]. Those with limited education often encounter misinformation, relying on biased or incomplete information sources, which can deepen mistrust and confusion regarding healthcare services [14].…”

Section: Cognitive Gap For Elderlymentioning

confidence: 99%

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Alleviating Elderly’s Medical Communication Issue with Personalized LLM-Generated Short-Form Video

Zhuang,

Ma,

Zhou

et al. 2024

Frontiers in Artificial Intelligence and Applications

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Medical professions’ time is invaluable, especially in regions where public medical resources are scarce. They aim to convey substantial content in minimal time to assist a maximum number of patients. However, due to cognitive declines, personal experience, and insufficient medical knowledge, elderly patients often encounter challenges in swiftly comprehending the purpose for medical instructions, especially diagnostic plans. This miscommunication frequently results in feelings of reluctance, frustration, and mistrust towards proposed medical procedures, ultimately impacting the satisfaction of medical communication and execution of treatment plans adversely. In this research, we introduce an innovative approach where the task of explaining medical procedures is entrusted to short-form video generated with Large Language Models (LLMs). Based on preliminary data on patient preferences and medical history, LLM is applied in generating personalized explanatory video, featuring virtual representations of a doctor. The generation strictly follows a procedure of persona modeling, target generation, script generation, and video generation. With a N=20 study involving a simulated scenario where physicians suggest an MRI scan - a costly and sometimes unfamiliar procedure for many elderly patients - the proposed method show an obvious decline in the patient’s negative experience, including reluctance, frustration, and mistrust. This study pioneers the integration of Large Language Models in crafting personalized explanatory videos for elderly patients, enhancing medical comprehension and experience. Our method presents a novel convergence of Meta Human, NLP technology, and elderly’s patient-centered care, bridging communication gaps in healthcare scenarios.

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Section: Elderly 'S Trust To Medical Advicementioning

confidence: 99%

Section: Cognitive Gap For Elderlymentioning

confidence: 99%

Alleviating Elderly’s Medical Communication Issue with Personalized LLM-Generated Short-Form Video

Zhuang,

Ma,

Zhou

et al. 2024

Frontiers in Artificial Intelligence and Applications

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Personality traits and depressive symptoms among Chinese older people: A network approach

Li,

Zhang

2024

Journal of Affective Disorders

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A multicenter case–controlled study on laparoscopic hepatectomy versus microwave ablation as first-line therapy for 3–5 cm hepatocellular carcinoma in patients aged 60 and older

Wang,

Zhang,

Meng

et al. 2024

International Journal of Surgery

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Background: There is currently a lack of convincing evidence for microwave ablation (MWA) and laparoscopic liver resection (LLR) for patients ≥60 years old with 3-5 cm hepatocellular carcinoma (HCC). Materials and Methods: Patients were divided into three cohorts based on restricted cubic spline (RCS) analysis: 60-64, 65-72, and ≥73 years. Propensity score matching (PSM) was performed to balance the baseline variables in a 1:1 ratio. Overall survival (OS) and disease-free survival (DFS) were assessed, followed by a comparison of complications, hospitalization and cost. Results: Among 672 patients, the median age was 66 (IQR 62-71) years. After PSM, two groups of 210 patients each were selected. During the 36.0 (20.4-52.4) month follow-up period, the 1-, 3- and 5-year OS rates in the MWA group were 97.6%, 80.9%, 65.3% and 95.5%, 78.7%, 60.4% in the LLR group (HR 0.98, P=0.900). The corresponding DFS rates were 78.6%, 49.6%, and 37.5% and 82.8%, 67.8%, and 52.9% (HR 1.52, P=0.007). The 60-64 age cohort involved 176 patients, with no a significant difference in OS between the MWA and LLR groups (HR 1.25, P=0.370), MWA was associated with a higher recurrence rate (HR 1.94, P=0.004). A total of 146 patients were matched in the 65-72 age cohort, with no significant differences in OS and DFS between the two groups (OS (HR 1.04, P=0.900), DFS (HR 1.56, P=0.110)). In 76 patients aged ≥73 years after PSM, MWA provided better OS for patients (HR 0.27, P=0.015), and there were no significant differences in DFS between the two groups (HR 1.41, P=0.380). Taken together, for patients older than 65 years, the recurrence rate of MWA was comparable with LLR. Safety analysis indicated that LLR was associated with more postoperative bleeding (P=0.032) and hypoproteinemia (P=0.024). Conclusions: MWA was comparable to LLR in patients aged 65 years and older. MWA could be an alternative for the oldest old or the ill patients who cannot afford LLR, while LLR is still the fist option of treatments for early-stage 3-5 cm HCC in capable elderlys.

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Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Cited by 6 publications

References 63 publications

Alleviating Elderly’s Medical Communication Issue with Personalized LLM-Generated Short-Form Video

Alleviating Elderly’s Medical Communication Issue with Personalized LLM-Generated Short-Form Video

Personality traits and depressive symptoms among Chinese older people: A network approach

A multicenter case–controlled study on laparoscopic hepatectomy versus microwave ablation as first-line therapy for 3–5 cm hepatocellular carcinoma in patients aged 60 and older

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